| NPI | 1760016422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA M CAMPION Licensed Clinical Social Worker 812-205-7270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2025-03-31 |